Remotehey

Industry & Sector: Healthcare analytics and value-based care technology — delivering cloud-based population health, care management, and performance-improvement solutions to health systems and payers. We partner with clinical leaders to translate data into measurable outcomes and scalable care programs across the United States.

Primary Title (LinkedIn optimized): Clinical Operations Manager

Role & Responsibilities

• Lead design, implementation and day-to-day delivery of clinical programs (care management, transitions of care, utilization management) for US client accounts in a remote model.
• Manage, mentor and operationalize clinical teams and vendors; define KPIs, workflows and expectations to drive consistent outcomes.
• Partner with product, analytics, implementation and client stakeholders to translate clinical requirements into platform configurations, care pathways, and SOPs.
• Monitor clinical quality and performance metrics (HEDIS, CMS measures, readmission rates); surface gaps and lead continuous improvement initiatives.
• Oversee EHR and telehealth integrations, ensuring documentation standards, interoperability and smooth data flows between clinical systems and analytics platforms.
• Maintain regulatory and compliance oversight (HIPAA), develop clinical policies, manage risk escalations and ensure audit readiness.
  
  

Skills & Qualifications

Must‑Have

• Active clinical credential (e.g., RN, NP, PA) or equivalent clinical background with demonstrated leadership in clinical operations or care management.
• Proven experience operationalizing care management or population health programs and leading cross-functional clinical teams.
• Practical knowledge of Electronic Health Records and integration points with analytics platforms (experience with Epic strongly preferred).
• Solid understanding of quality measurement frameworks and regulatory requirements (HEDIS, CMS measures, HIPAA).
  
  

Preferred

• Experience working with healthcare analytics or SaaS platforms and in client-facing implementation roles.
• Formal training in project management or process improvement (PMP, Lean, Six Sigma) or equivalent experience.
  
  

Benefits & Culture Highlights

• Fully remote US role with flexible schedule and emphasis on work-life balance.
• Opportunity to shape clinical products used by health systems and payers and to lead high-impact quality improvement programs.
• Collaborative, growth-oriented culture with strong cross-functional partnership between clinical, analytics and product teams.
  
  

This role is optimized for clinical leaders who combine hands-on care management experience with a data-driven mindset and a track record of operationalizing clinical programs at scale. If you want to drive measurable improvement in patient outcomes through innovative analytics and clinical best practices, this role offers a clear path to impact.

Skills: epic,electronic health records,data,management,clinical operations,operations,health